Affidavit For Waiver Of Fees Notice For Use By California Consumers Only
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Affidavit For Waiver Of Fees Notice For Use By California Consumers Only Form. This is a Official Federal Forms form and can be use in Consumer Arbitration American Arbitration Association.
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American Arbitration Association Affidavit For Waiver of Fees
Notice
For Use By California Consumers Only
Pursuant to section 1284.3 of the California Code of Civil Procedure, consumers
with a gross monthly income of less than 300% of the federal poverty guidelines,
are entitled to a waiver of all fees and costs, exclusive of arbitrator fees. This law
applies to all consumer arbitration agreements subject to the California Arbitration
Act, and to all consumer arbitrations conducted in California. If you believe that
you meet these requirements, please complete this form and submit it with your
demand for arbitration to the AAA’s Western Case Management Center.
If (1) you are not a California consumer; or (2) your gross monthly income is more
than 300% of the federal poverty guidelines, you may still apply for a reduction or
deferral of AAA administrative fees by contacting the nearest AAA Case
Management Center and requesting a hardship application form.
Name:
_________________________________________________________________
Address:
_________________________________________________________________
Number of Persons in Household
_______________________________________
Gross Monthly Income ____________________________________________________
I hereby swear that the foregoing is a true and correct statement.
____________________________
Signature
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